An immersive virtual reality-based intervention to enhance mobility and patient-reported outcomes in patients with proximal humeral fractures: a case report
Bulletin of Faculty of Physical Therapy,
Journal Year:
2025,
Volume and Issue:
30(1)
Published: Feb. 12, 2025
Abstract
Greater
tuberosity
(GT)
fractures
of
the
humerus
contribute
to
14–20%
all
proximal
humeral
(PHF)
and
provide
considerable
challenges
because
their
proximity
rotator
cuff,
which
may
negatively
affect
shoulder
function
if
left
untreated.
A
45-year-old
man
who
had
an
isolated,
non-displaced
GT
fracture
in
a
motorbike
accident
is
subject
this
case
report.
The
patient
received
new
virtual
reality
(VR)
intervention
thorough
rehabilitation
programme
after
initial
period
immobility.
Through
VR
component,
was
able
participate
immersive
exercises
designed
improve
motivation
movement.
Assessments
range
motion
Constant-Murley
Score
(CMS),
increased
from
16
on
day
1
33
at
completion
therapy,
were
used
track
progress.
Significant
gains
mobility
patient-reported
outcomes
observed
results,
indicating
that
use
could
increase
effectiveness
rehabilitation.
Further
investigation
larger
clinical
studies
necessary
context
example,
supports
potential
as
adjuvant
following
fracture.
Language: Английский
Advances and New Therapies in Traumatic Spinal Cord Injury
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(7), P. 2203 - 2203
Published: March 24, 2025
Recovery
from
traumatic
spinal
cord
injury
(tSCI)
is
challenging
due
to
the
limited
regenerative
capacity
of
central
nervous
system
restore
cells,
myelin,
and
neural
connections.
At
clinical
level,
fundamental
pillars
treatment
are
reduction
in
secondary
damage
(neuroprotection)
rehabilitation;
these
tools
we
have
mitigate
disability
caused
by
(SCI).
To
date,
treatments
on
which
neuroprotection
has
been
based
prevention
acute
respiratory
failure
avoid
hypoxia,
early
hemodynamic
control,
neuroprotective
drugs
surgical
management.
Optimizing
control
ensure
adequate
perfusion
may
be
key
management
SCI.
While
agents
like
methylprednisolone
fallen
into
disuse,
several
promising
therapies
currently
being
tested
trials.
In
terms
treatment,
although
their
impact
neurological
recovery
remains
debated,
appropriate
bone
decompression
followed
duroplasty
selected
cases
increasingly
recommended.
Advances
cell
hold
significant
potential
for
enhancing
both
functional
outcomes
SCI
patients.
Moreover,
emerging
neuromodulation
techniques,
such
as
transcutaneous
epidural
stimulation,
along
with
innovations
rehabilitation
technologies-such
robotic
systems
exoskeletons-are
becoming
indispensable
improving
locomotion
overall
mobility
individuals
This
article
provides
an
update
advances
against
tSCI,
cellular
therapies,
new
therapies.
Language: Английский
The Co-Design of Immersive Virtual Reality Upper Limb Activities for People with Tetraplegia during Acute Rehabilitation: A Focus Group Study (Preprint)
Published: April 8, 2025
BACKGROUND
The
global
incidence
of
spinal
cord
injury
(SCI)
is
between
10
and
80
new
cases
per
million
people
each
year,
with
more
traumatic
injuries
occurring
than
non-traumatic.
This
equates
to
250,000
500,000
worldwide,
year.
In
the
UK
it
estimated
that
4400
year
sustain
a
SCI.
People
tetraplegia
report
upper
limb
function
as
their
highest
priority
for
improvement
after
Using
immersive
virtual
reality
(VR)
headsets,
physical
rehabilitation
exercises
can
be
completed
in
engaging
digital
environments.
Immersive
VR
therefore
has
potential
increase
amount
therapy
undertaken,
leading
improvements
arm
hand
function.
There
little
evidence
supporting
exercise
SCI,
especially
while
SCI
patients
are
undergoing
acute
rehabilitation.
study
recruited
therapists
establish
design
direction
VR-based
platform.
research,
co-design
interventions
not
widely
adopted
approach,
yet
want
contribute
expert
knowledge
on
experiences
OBJECTIVE
To
explore
lived
specialist
related
reality-based
activities.
METHODS
Seven
focus
groups
were
conducted
online
using
Microsoft
Teams:
four
(n
=
15,
age
range
36-65
years)
three
occupational
physiotherapists
specialising
11).
Participants
asked
discuss
expertise
about
opinions
use
transcripts
analysed
content
analysis
enabling
proposition
characteristics
intervention
exercise.
RESULTS
identified
five
major
themes
describing
clinical
features,
treatment,
recovery
injured
during
stage
suggestions
treating
limbs
following
results
highlighted
what
motivates
participate
how
these
motivators
could
encouraged
maintained
VR.
These
findings
used
accessible
applications
by
therapists.
They
also
better
understanding
advantages
an
adjunct
rehabilitation,
well
features
avoid.
CONCLUSIONS
this
allow
elicitation
software
requirements
bespoke
platform
injury.
Additionally,
participants
suggest
factors
would
enable
development
usable
effective
identifying
pitfalls
avoid
development.
Language: Английский
A scoping review on the role of virtual walking intervention in enhancing wellness
npj Digital Medicine,
Journal Year:
2025,
Volume and Issue:
8(1)
Published: April 23, 2025
Virtual
walking
has
the
potential
to
be
an
adjunct
traditional
physical
therapy.
This
scoping
review
aims
synthesize
evidence
on
characteristics,
effectiveness,
feasibility,
and
neurological
mechanism
of
virtual
interventions
health-related
outcomes.
Articles
in
English
were
retrieved
from
twelve
databases
(January
2014-October
2024).
Thirteen
interventional
studies
included,
focusing
three
types
walking:
passive
observing
moving
(71.4%),
arm
swing
locomotion
(21.5%),
foot
tracking
(7.1%).
Most
(84.6%)
involved
individuals
with
spinal
cord
injuries,
while
remaining
focused
lower
back
pain
(7.7%)
limb
(7.7%).
Over
70%
lasted
11-20
min,
1-5
weekly
sessions
for
10-14
days.
Statistically
significant
findings
included
reduction
(84.6%),
improved
function
(mobility
muscle
strength),
reduced
depression.
Mild
adverse
effects
(fatigue
dizziness)
transient.
Neurological
indicates
somatosensory
cortex
activation
during
walking,
possibly
linked
neuropathic
pain.
Language: Английский
Physical Therapy in Neurorehabilitation with an Emphasis on Sports: A Bibliometric Analysis and Narrative Review
Sports,
Journal Year:
2024,
Volume and Issue:
12(10), P. 276 - 276
Published: Oct. 12, 2024
The
increasing
interest
in
physical
therapy
sports
neurorehabilitation
stems
from
the
high
incidence
of
neurological
injuries
among
athletes
and
crucial
role
rehabilitation
facilitating
their
safe
return
to
sports.
This
study
aims
provide
a
comprehensive
analysis
research
trends
athletes.
presents
bibliometric
103
documents
Scopus
database,
followed
by
narrative
review
identified
thematic
areas.
Together,
these
approaches
offer
overview
international
literature
on
application
neurorehabilitation,
highlighting
key
contributors.
software
VOSviewer
Power
BI
(2.136.1202.0)
were
used
for
visualization
results.
Techniques
such
as
performance
(documents
per
year,
top
sources
countries
documents,
authors
citations)
science
mapping
(co-authorship,
bibliographic
coupling,
co-citation,
co-occurrence)
conducted.
results
revealed
journals
with
greatest
impact
field
collaborations
between
various
countries.
From
co-occurrence
keywords,
three
clusters
identified,
Clinical
Approaches
Outcomes
Neurorehabilitation,
Athlete-Centered
Neurorehabilitation
Techniques,
Specialized
Interventions
Sports
Medicine
which
conduct
review.
These
findings
solid
foundation
future
clinical
practice
aimed
at
enhancing
recovery
times
overall
injuries.
Language: Английский